AdventHealth Weaverville

AdventHealth Weaverville
AdventHealth
Geography
LocationWeaverville, North Carolina, United States
Organization
Care systemPrivate hospital
TypeGeneral hospital
Religious affiliation
Seventh-day Adventist Church
Links
ListsHospitals in North Carolina

AdventHealth Weaverville is a non-profit hospital campus under construction in Weaverville, North Carolina for AdventHealth. Construction on the medical facility had been delayed, due to Mission Health filing a lawsuit to stop it from being built.[1][2] Their appeal was denied by the North Carolina Supreme Court, ending a three year court battle with AdventHealth,[3][4] allowing for construction to begin in March 2026.[5][6]

History

Pre-history

On April 20, 2022, AdventHealth announced that it would apply with the state of North Carolina on June 15, to construct a hospital with 67 beds in Buncombe County, North Carolina.[7][8] On November 22, AdventHealth was approved to build the new hospital by the North Carolina Department of Health and Human Services. AdventHealth received 4,000 letters of support from government and community leaders in the county and surrounding counties.[9][10][11]

Mission Health had applied with the state to add the 67 beds to its hospital in Asheville, their request for the expansion at Mission Hospital was denied.[12][13] Also Novant Health had applied to build a hospital in Buncombe County, their bid was also denied by the North Carolina Department of Health and Human Services.[14][15] They both sued North Carolina over its decision to choose AdventHealth.[16][17][18] Later Novant Health dropped its lawsuit against the state in 2023.[19]

On February 21, 2024, AdventHealth purchased 25.45 acres (10.30 ha) between U.S. Route 25/U.S. Route 70 and Interstate 26 in Weaverville, North Carolina for $7.5 million. Originally it had planned to build in Candler, North Carolina.[20][21] On March 19, AdventHealth announced that it would build its hospital in Weaverville for about $254.1 million, even thou it did not have approval from a judge.[21][22][23] At the annual North Carolina State Medical Facilities Plan, it was announced that the Asheville metropolitan area needed 26 more acute beds. AdventHealth after hearing the announcement applied for a certificate of need for the additional 26 beds. This would increase the number of beds for AdventHealth Weaverville to 93 beds once built.[21][24][25] On May 10, a judge from the North Carolina Office of Administrative Hearings rejected the lawsuit by Mission Health a subsidiary of HCA Healthcare against North Carolina over its decision of AdventHealth. They were given thirty days to appeal the decision.[26][27][28] In late November, the hospital networks certificate of need for the additional 26 beds was approved by the state,[29][30][31] rejecting the certificate of need requests by Mission Health and Novant Health.[32][33] On December 20, Mission Health appealed to the North Carolina Office of Administrative Hearings, claiming that the additional 26 beds should have never been given to AdventHealth.[34][35] The reason why they are fighting is because they want to keep the beds they had given up after closing Asheville Specialty Hospital,[36] and also Mission Hospital is over capacity.[37]

On May 9, 2025, AdventHealth announced that it would apply for a certificate of need for an additional 129 bed for AdventHealth Weaverville.[38][39] This would increase the number of beds for the future hospital to 222, making it the second-largest hospital in western North Carolina.[40][41] In June, the North Carolina Court of Appeals upheld AdventHealth's certificate of need for the 67 beds.[42] In early July, Novant Health announced that it would also apply for the 129 beds for a new hospital.[19] In late July, attorneys for Mission Hospital appealed to the North Carolina Supreme Court for a temporary stay of the court of appeals ruling.[43] On July 26, in response to the request the court approved the temporary stay.[44][45] On August 1, AdventHealth asked the North Carolina Supreme Court not to except the case, since they consider Mission Health's attempt to overturn the certificate of need for the sixty-seven beds to be futile and not appropriate for the court to review. While Mission Health wants the court to clear up contradictory and confusing rulings.[46][47]

In early October, Mission Health announced that it would apply for the 129 beds;[37] and also UNC Health announced that it to would apply for the beds for a new hospital in Asheville.[48][49] On December 15, AdventHealth announced that the North Carolina Supreme Court had refused to hear the appeal of Mission Health, paving the way for AdventHealth to have its first phase of AdventHealth Weaverville built.[50][51][52] Due to the delay the only work done on the site in 2025, was land development and the demolition of a house. The hospital could create about 1,600 jobs when it opens.[53][54]

2026-present

On March 26, 2026, there was a groundbreaking for the medical facility, and in attendence was Josh Stein.[55][56] Once complete the hospital will be seven-stories, while its medical office building will be three-stories and 75,000 square foot (7,000 m2).[57] On the following day the North Carolina Department of Health and Human Services rejected the certificate of need requests by AdventHealth and UNC Health. It instead approved 95 beds for Mission Hospital and gave Novant Health permission to build a 35-bed hospital in Arden, North Carolina. AdventHealth and UNC Health had until April 27 to appeal the decision.[58][59]

After hearing the decision by the North Carolina Department of Health and Human Services, Julie Mayfield told Asheville Watchdog this:[58] "I was shocked, and then puzzled, why the state would award [Mission] 95 more beds when they can't seem to safely manage the beds that they have. It simply makes no sense."

On April 23, 2026, the hospital networks both appealed the decision to the North Carolina Office of Administrative Hearings.[60][61] At the annual North Carolina State Medical Facilities Plan, it was announced that the Asheville metropolitan area needed 92 more acute beds. Soon after AdventHealth, Mission Health, UNC Health applied with the Department of Health and Human Services for the beds. AdventHealth wants to add the beds to its medical facility under construction in Weaverville, Mission Health wants to add them to its hospital in Asheville, and UNC Health wants the beds so they can build UNC Health West Medical Center. And Novant Health also applied, but only for 20 beds for its medical facility in Arden.[62][63] In May, Buncombe County supported AdventHealth for the 92 acute beds, and later they had changed their mind and were supporting UNC Health in August.[64] On August 19, at a meeting for the 92 acute beds the public were 100 percent against Mission Hospital from receiving anymore beds.[65]

See also

References

  1. ↑ King, Kimberly (November 18, 2025). "AdventHealth hospital in Weaverville still not built amid legal challenges". WLOS. Retrieved December 8, 2025.
  2. ↑ Jones, Andrew (December 8, 2025). "A North Carolina Hospital Was Slated To Open in 2025. Mired in Bureaucracy, It's Still a Dirt Field". KFF Health News. Retrieved December 8, 2025.
  3. ↑ Scott, Tyler (December 15, 2025). "AdventHealth moving forward with new hospital in WNC after 3-year legal process". Fox Carolina. Retrieved December 16, 2025.
  4. ↑ "Top NC court rejects case that could block Weaverville hospital". The Carolina Journal. December 15, 2025. Retrieved March 27, 2026.
  5. ↑ MacLennan, Robin (March 31, 2026). "AdventHealth breaks ground on Weaverville hospital project". North Carolina Construction News. Retrieved April 1, 2026.
  6. ↑ Zehnder, Katherine (April 8, 2026). "AdventHealth Weaverville breaks ground after CON delay". The Carolina Journal. Retrieved April 8, 2026.
  7. ↑ Jones, Andrew (April 21, 2022). "Mission competition? AdventHealth applying for new Buncombe hospital. HCA close behind". Asheville Citizen-Times. Retrieved July 25, 2023.
  8. ↑ Liss, Samantha (April 25, 2022). "AdventHealth eyes new hospital near Asheville". Healthcare Dive. Retrieved July 25, 2023.
  9. ↑ Jones, Andrew (November 22, 2022). "AdventHealth wins bid to open new Buncombe hospital; Mission, Novant weigh next steps". Asheville Citizen-Times. Retrieved July 25, 2023.
  10. ↑ Peters, Andy (November 23, 2022). "AdventHealth Approved for $254 Million Asheville, North Carolina, Hospital". CoStar Group. Retrieved July 25, 2023.
  11. ↑ Slowey, Kim (November 28, 2022). "AdventHealth wins bid to build $254M North Carolina hospital". The Construction Broadsheet. Retrieved July 25, 2023.
  12. ↑ Jones, Andrew (June 7, 2022). "Buncombe commission to show support for new 67-bed hospital, but not one owned by HCA". Asheville Citizen-Times. Retrieved December 20, 2023.
  13. ↑ Santostasi, Stephanie (August 26, 2022). "AG Stein talks opposition to Mission Health expansion and why with local business owners". WLOS. Retrieved December 20, 2023.
  14. ↑ Johnson, Lillian (November 23, 2022). "Novant Health loses bid to expand into Asheville with a $328 million, 67-bed acute care hospital". Triad Business Journal. Retrieved July 25, 2023.
  15. ↑ Craver, Richard (December 6, 2022). "Novant's bid to open hospital in Asheville is denied. Hospital system can appeal decision". Winston-Salem Journal. Retrieved July 25, 2023.
  16. ↑ "Mission Hospital moves to fight NC's AdventHealth approval". Asheville Citizen-Times. December 22, 2022. Retrieved July 26, 2023.
  17. ↑ "Novant Health signals move to fight state's Buncombe AdventHealth call". Asheville Citizen-Times. December 23, 2022. Retrieved July 26, 2023.
  18. ↑ "Mission, Novant Health to fight award of hospital to AdventHealth". Asheville Daily Planet. January 4, 2023. Retrieved December 21, 2023.
  19. 1 2 Jones, Andrew (July 11, 2025). "Novant Health aims to build hospital in Buncombe County". Asheville Watchdog. Retrieved July 14, 2025.
  20. ↑ Lewis, Peter (March 22, 2024). "AdventHealth buys 25 acres in Weaverville to build a new hospital". Asheville Watchdog. Retrieved March 25, 2024.
  21. 1 2 3 Black, Mitchell (March 25, 2024). "AdventHealth announces site for Weaverville hospital, but court approval not yet granted". BlueRidgeNow. Retrieved March 25, 2024.
  22. ↑ Barrows, Kari (March 19, 2024). "AdventHealth announces new location for Buncombe County hospital". WLOS. Retrieved March 25, 2024.
  23. ↑ Stoddard, Freeman (March 19, 2024). "AdventHealth to open new hospital in Buncombe County". Fox Carolina. Retrieved March 25, 2024.
  24. ↑ "AdventHealth applies for 26-bed expansion at anticipated Weaverville hospital". WLOS. March 21, 2024. Retrieved March 25, 2024.
  25. ↑ "AdventHealth plans Buncombe County hospital bed capacity expansion". Hospital Management. March 22, 2024. Retrieved March 25, 2024.
  26. ↑ Jones, Andrew (May 10, 2024). "Judge affirms AdventHealth's plans to build Weaverville hospital". Asheville Watchdog. Retrieved May 24, 2024.
  27. ↑ Burgess, Joel (May 13, 2024). "Judge OKs new Western NC hospital with ER north of Asheville; could be expanded to 93 beds". Asheville Citizen-Times. Retrieved July 22, 2024.
  28. ↑ Barrows, Kari; Liverman, Marc (May 10, 2024). "NC judge upholds AdventHealth's Certificate of Need for building new Buncombe hospital". WLOS. Retrieved July 14, 2025.
  29. ↑ Sonmez, Felicia (November 21, 2024). "AdventHealth wins state approval to add 26 beds to new Weaverville hospital". Blue Ridge Public Radio. Retrieved December 3, 2024.
  30. ↑ Doty, Kelly (November 22, 2024). "26 additional beds approved for AdventHealth's Weaverville hospital". WLOS. Retrieved December 3, 2024.
  31. ↑ Carbajal, Erica (November 22, 2024). "North Carolina grants AdventHealth approval to add beds". Becker's Hospital CFO Report. Retrieved December 3, 2024.
  32. ↑ Condon, Alan (December 10, 2024). "AdventHealth gains ground in HCA turf war". Becker's Hospital Review. Retrieved March 14, 2025.
  33. ↑ Johnson, Lillian (December 12, 2024). "For a second time, state regulators deny Novant Health's bid for Asheville hospital". Triad Business Journal. Retrieved July 14, 2025.
  34. ↑ Jones, Andrew (January 13, 2025). "Mission Health appeals state's awarding of 26 acute care beds to AdventHealth's planned Weaverville hospital". Asheville Watchdog. Retrieved March 14, 2025.
  35. ↑ Condon, Alan (January 14, 2025). "HCA appeals another AdventHealth CON: 7 things to know". Becker's Hospital Review. Retrieved March 14, 2025.
  36. ↑ Jones, Andrew (January 30, 2025). "Mission tries to retain beds it gave up after closing Asheville Specialty Hospital, letter obtained by Watchdog shows". Asheville Watchdog. Retrieved March 27, 2025.
  37. 1 2 Jones, Andrew (October 3, 2025). "Presentation on Weaverville hospital sparks tense exchange between AdventHealth official, Mission CEO". Asheville Watchdog. Retrieved October 6, 2025.
  38. ↑ Sardonia, Marisa (May 9, 2025). "AdventHealth seeks to expand Weaverville facility with 129 additional beds". WLOS. Retrieved May 16, 2025.
  39. ↑ Casey, Johnny (May 9, 2025). "AdventHealth seeking an additional 129 beds at Weaverville facility; 93 already approved". Asheville Citizen-Times. Retrieved May 16, 2025.
  40. ↑ Jones, Andrew (July 9, 2025). "AdventHealth makes its most public case for building region's second-largest hospital, but has yet to ask the state for permission". Asheville Watchdog. Retrieved July 10, 2025.
  41. ↑ Kuchno, Kristin (October 9, 2025). "AdventHealth, Novant, Mission, UNC compete for North Carolina beds". Becker's Hospital Review. Retrieved October 11, 2025.
  42. ↑ Ferrarin, Gianna (June 18, 2025). "NC Panel Rejects HCA Unit's Appeal Over Rival Project Award". Law360. Retrieved July 28, 2025.
  43. ↑ Jones, Andrew (July 25, 2025). "Mission takes its nearly 3-year battle for 67 hospital beds to North Carolina Supreme Court". Asheville Watchdog. Retrieved July 28, 2025.
  44. ↑ "Top NC court grants stay in western NC CON dispute". The Carolina Journal. July 28, 2025. Retrieved July 28, 2025.
  45. ↑ Condon, Alan (July 28, 2025). "HCA vs. AdventHealth: North Carolina Supreme Court halts ruling in turf war". Becker's Hospital Review. Retrieved October 6, 2025.
  46. ↑ "Top NC Court urged to reject CON case involving Weaverville hospital". The Carolina Journal. August 4, 2025. Retrieved August 7, 2025.
  47. ↑ Jones, Andrew (August 5, 2025). "AdventHealth: Mission's arguments against it winning 67 hospital beds aren't 'even remotely appropriate for review'". Asheville Watchdog. Retrieved August 7, 2025.
  48. ↑ Jones, Andrew (October 6, 2025). "UNC Health, Pardee to apply to build hospital in Buncombe, joining three other systems in 129-bed competition". Asheville Watchdog. Retrieved October 11, 2025.
  49. ↑ Ezzone, Zac (October 13, 2025). "UNC Health seeks to build new hospital in Asheville area". Triangle Business Journal. Retrieved October 16, 2025.
  50. ↑ Hofmann, Will (December 15, 2025). "NC Supreme Court won't hear Mission Health case against new hospital". Asheville Citizen-Times. Retrieved December 16, 2025.
  51. ↑ Annas, Ruby (December 15, 2025). "AdventHealth to build 67-bed Weaverville hospital after legal delays with Mission Health". WLOS. Retrieved December 16, 2025.
  52. ↑ Cass, Andrew (December 15, 2025). "North Carolina Supreme Court declines to hear HCA appeal, paving way for AdventHealth hospital". Becker's Hospital Review. Retrieved December 16, 2025.
  53. ↑ Skipper, Elijah (December 16, 2025). "Weaverville hospital could boost healthcare access, create up to 1,600 jobs: town official". WLOS. Retrieved December 17, 2025.
  54. ↑ Smith, Madison (February 17, 2025). "Ask 13: What is the latest news on the new AdventHealth hospital in Weaverville?". WLOS. Retrieved February 3, 2026.
  55. ↑ Hensley, Dean (March 26, 2026). "Gov. Stein attends AdventHealth's new Weaverville hospital groundbreaking". WLOS. Retrieved March 26, 2026.
  56. ↑ Casey, Johnny (March 27, 2026). "Construction of new AdventHealth hospital in Weaverville gets underway". Asheville Citizen-Times. Retrieved March 27, 2026.
  57. ↑ Parker, Clint (March 4, 2026). "Councilwoman Young updates Weaverville on coming hospital". The Beacon Tribune. Retrieved March 28, 2026.
  58. 1 2 Lewis, Peter (April 1, 2026). "Despite multiple safety sanctions, Mission Hospital receives state approval to add 95 more beds in Asheville". Asheville Watchdog. Retrieved April 1, 2026.
  59. ↑ Hofmann, Will (April 2, 2026). "Despite citations, Mission Hospital wins approval for $198M expansion". Asheville Citizen-Times. Retrieved April 6, 2026.
  60. ↑ Hofmann, Will (April 29, 2026). "Advent, UNC Health, appeal Mission Hospital expansion approval". Asheville Citizen-Times. Retrieved April 30, 2026.
  61. ↑ Clifford, Ted (April 29, 2026). "Hospitals challenge state regulator's decision to award more beds to Mission". Asheville Dog. Retrieved April 30, 2026.
  62. ↑ Sardonia, Marisa (July 2, 2026). "4 health care groups compete for 92 acute care beds in western North Carolina". WLOS. Retrieved July 7, 2026.
  63. ↑ Hofmann, Will (July 3, 2026). "4 health systems to again compete to add new acute care beds in Buncombe County". Asheville Citizen-Times. Retrieved July 3, 2026.
  64. ↑ Palmer, Gracie (August 18, 2026). "Buncombe County backs UNC Health, AdventHealth in competition for 92 new hospital beds". WLOS. Retrieved August 21, 2026.
  65. ↑ Hofman, Will (August 21, 2026). "Public during Asheville hospital hearing: 'Mission Hospital should not get one more bed'". Asheville Citizen-Times. Retrieved August 21, 2026.

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